cognitive impairment Archives * Survived to Thrive by Momma Berna

Aftershocks

Earthquakes happen suddenly, with no warning and if strong enough, leaves massive destruction at its wake. Then the aftershocks follow. Little tremblers that are just as nerve wracking as they could be signaling another big one.

I use this analogy because this is how I felt after the stroke. I get anxious whenever I get a headache or a tingling in my hands or feet. Afterall, the stroke literally caused a shift in my brain.

Post Traumatic Stress Disorder (PTSD) has always been attributed to veteran soldiers returning from the harrowing experiences of war, survivors of tragedies such as accidents, personal assaults and natural disasters. What most don’t realize is that there are stroke survivors who also suffer from PTSD.

PTSD is a psychological disorder characterized by depression, anxiety, flashbacks and/or nightmares. This study indicated that 1 in 4 stroke survivors suffer from PTSD and yet, it is not a well researched field. Stroke survivors often have huge physical recoveries to tackle, their emotional health is often put on the back burner.

When I was discharged from the rehab hospital, my family was given resources to help me recover physically. Appointments and referrals were set up for physical, speech and occupational therapy. Medical pros had to check my home to see if it was accessible to me. My family was even “trained” to help me transfer in and out of my wheelchair. They were given information on how to keep me physically safe. I do not recall if my family was ever warned of the psychological toll specially PTSD.

FAST, stroke survivor, stroke, stroke prevention — Act FAST for stroke treatment

The stroke was caused by a blood vessel that burst which flooded my brain with blood killing precious brain cells. This according to the pros, was a direct result of high blood pressure. Armando and I became vigilant about checking my blood pressure. If it was a bit high, I start panicking- which resulted in my pressure going higher. It was an ugly cycle. Every headache was surely a sign of another stroke. I would do the FAST (face, arm, speech, time to call 911) evaluation, but would be very upset because I cannot move my left arm, the left side of my face was numb and so was my leg. It was aggravating. I took a couple of ambulance rides to the ER only to be sent home embarrassed and upset. And inadvertently scaring my boys.

I read somewhere that lifting weights could cause strokes. I immediately emailed my neurologist, my primary care physician and my physical therapist my concern. I was working with a trainer and weight training. They all told me to chill the fuck out (okay, in a very medically polite way) Mind you, I wasn’t lifting anything over 10 lbs. I could not even hold a 5 lb dumbell with my left hand. Ha!

After three years, I have managed to calm down. I still fear that a headache (which I don’t get often thank God!) is signaling another stroke. I have a nagging fear that I will have another stroke and that one will leave me in a vegetative state. These little aftershocks haunt me in my dreams too. I relive the moment I had the stroke and I wake up screaming. Will I ever be able to NOT think about another stroke? I doubt it. This is a reality I now live with.

However, I will not allow these aftershocks to stop me in my tracks. I take many precautions so that a stroke will not get me again. I eat healthy, exercise and avoid stress (yeah, that one is not happening).

For anyone reading who is a stroke survivor, please know that the fear of having “another one “ is not irrational. The anxiety is very real. Our fear is valid. Know that you are not alone.

Much Love,

Momma Berna

My Year of Running Virtually

I have been an ambassador for a local running club three years in a row. Represent Running is a group which promotes running locally, meeting and running with awesome people and promoting 3 Bay Area races in three different, but equally beautiful cities: San Jose (408k), San Francisco (415k) & the East Bay (510k). Each race highlights the beauty and culture of the city it is representing. My job as an ambassador is to promote the races, spread running joy and discounts on social media. In the past years, I have been able to to run/walk the races “live” meaning I am there at the event toeing the start line along with everyone. Unfortunately for this year, I was sidelined for all three of the races! I had to run the races virtually – This type of virtual running does not involve virtual reality glasses while sat on the couch.

The 408k ( 8k-4.9 miles) is my favorite local race. After all it represents San Jose, runs through downtown and local neighborhoods. Accentuated by the Mariachi mile at around the 4 mile mark. The finish is at the tony Santana Row where area restaurants lure in finishers with bottomless mimosas. The week of the race I was struggling with vertigo. Staying on my feet made me incredibly nauseous. I was hoping the symptoms would go away that weekend. Vincent & I picked up my bib at Santa Row. We walked the Row for a bit, but after a couple of stores I thought I was going to hurl on an overpriced shawl (tbh, I probably felt sick about the price too). I was feeling optimistic so I got my race gear ready, set my alarm and went to bed early with hopes that I would be able to stay on my feet next day. Unfortunately, when i got up on race morning, I felt like I just came off a triple loop roller coaster instead of my comfy bed.

The 415K is the San Francisco installment of this race series. The backdrop of this race is the Golden Gate bridge. The 12k takes runners across the bridge and the 5k runs along the Pacific Ocean. The weekend this race was on, the Bay Area was experiencing a heat wave. My silly, dumbass self thought it was a good idea to walk a couple of laps at the Relay for Life for our city. The day of the race, I woke up with excruciating neuropathy on my foot. It felt like I was walking on hot coals.

The 510k was the final installment of the Run the Bay series, this one is set in the East Bay. I missed that one too, I was scheduled for cranial angiogram the next day and my anxiety was running high.

The virtual race:

For those uninitiated, a virtual race is where one signs up for a specific race, for a distance specified by the race but instead of joining the hundreds of people on race day, one would set their own date & location. I find running a virtual race challenging. There are no cheering crowds, no aid stations, be no cheery faced volunteer handing me my medal at the finish line. Instead, the medal arrives in the mail and the only race photos are selfies (at least they’re free!).

The race becomes a battle in my own head. I have to fight the voice that tells me it’s time to quit, the voice that says I don’t need to put myself through this. I could just stop no one is watching.

I am quite fortunate that I only had to run one of these virtual races alone. My long time friend and partner in insanity Tammy has joined me in most of my virtual races.

*408k Virtual at Shoreline in Mountain View,CA*

Writing this makes me sad. I am realizing that I have been experiencing setback after setback. I have not reached goals that I have been working hard for. I thought I would have been further along in my recovery. Instead, I gave up on a 10k earlier this year. I have two more 5ks coming up before the end of the year and I really would like to do them live.

As much as I love being an ambassador for Represent Running, I am debating if I will apply to be in next year’s team. I do not feel that I am representing if I am not running.

The connections between my brain and leg have not yet established my need to run. I still have to constantly remind my legs I am running. Otherwise, I will start walking . This constant dialogue is mentally and emotionally exhausting.

I long to run with my friends again. I want to be an active part of a running community. I will continue to work hard to get my running legs back and to get my body and mind stronger.

Much Love,

Momma Berna

I like Being Told “You Look Good”

I read Facebook groups and blogs for disabilities, strokes & chronic illness. I see posts where a person gets sad or offended when someone tells them “ You look good”. I know there are times when I don’t feel good, I am in a lot of pain or I feel very sorry for myself. The last thing I would want to hear is “you look good” or “you look great!”.

In my opinion, when someone says those words they are not meant to be empty platitudes. Sometimes, folks just do not know what to say. And more than anything, it is usually said with love & genuine concern.

I am grateful when someone tells me “You look good”.

I am grateful because it takes a lot of effort for me to get ready to go out. Taking a shower can be exhausting. It takes a lot of time and frustration to get myself look presentable. I am glad when someone notices my efforts. There are days when I am in a lot of pain, and it shows on my face. When someone tells me I look good it means that for that day, at that time I am pain-free.

I am grateful because I work hard on my rehabilitation. I work my ass off to teach my brain to get back to some semblance of my old self. When someone tell me “ You look good” means my efforts are getting noticed.

And I am grateful because I have family and friends who support me, help me get through the tough times and are there to boost me up when I am at my lowest. I look good because I have their love and support to carry round.

I get it, folks with chronic pain or chronic illness the words “you look great” could sometimes be hard to hear. Pain is hidden and for most there is no end in sight. We may look good on the outside, but the fear of when the next brain fog, neuro fatigue or nerve pain will attack is always on our minds.

Despite the uncertainty, I choose to be grateful. I choose to see the good intention behind the words. I would like to think that when a person tells me that, he or she means it sincerely. I choose to believe that good health shows in face and my person. I will say thank you to anyone who sees this and care enough to let me know.

Have you found gratitude in an unusual place? Please share!

Much Love,

Momma Berna

I Hit Send

Whew! I’ve had my mailing list set-up on MailChimp for like forever. The email where I invite people I know, people I have interacted with and family members to introduce them to my blog. You see, some of them don’t have face-insta-twit or they are just not a part of my social media circle.

I have had the list set-up, formatted, re-formatted for a couple of months now. I have been too worried to hit send because…well…I am afraid. I am afraid of rejection, I am afraid of criticism etc. etc. But fear will not move me forward nor will it help me get my story out. So today, I clicked send.

But even with just one hand to type and getting seriously brain tired after a few sentences, I’ve got a story to tell! I may not tickle your fancy like E.L James, or give you nightmares like Stephen King (he, is the reason I am afraid of– no why I hate clowns). So if this is your first time here on my blog, welcome. Stay for a bit, I hope you enjoy what you read and come back. If you have visited before, welcome back. I do hope you keep coming back.

Now that I’ve hit send remember I am just a girl, sitting by her laptop, waiting for you all to read my story 😉

Much Love,

Momma Berna

My Broken Brain

There are two types of strokes: The ischemic stroke, which is when a blood clot forms somewhere in the body and the clot travels to the brain. The clot then blocks that part of the brain from receiving blood causing the stroke.

What I had was a hemorrhagic stroke. A vein in my brain burst which caused blood to leak . The blood then caused parts of my brain to be deprived of oxygen causing permanent damage. I was told that my brain became so swollen that it had shifted from its original position. I did not know this at the time, but the doctors told Armando that if the swelling did not go down, they might have to open up my shull (craniotomy) to relieve the pressure. They also told him, I might not survive that surgery. Thankfully, that did not happen. But I was still left with a broken brain. I have both physical and cognitive damage from the stroke.

The brain fog is really tough to deal with. Imagine waking up one day and all the colors and sounds around you have taken a very dull edge. If you are nearsighted, please remove your glasses. I know that you are now struggling with seeing things that are far away My brain now has a difficult time processing more than one sensory input at a time. If I am reading or watching something and someone starts talking to me, I would have to turn off the television or put down the Kindle for me to be able to understand what the other person is telling me. Sounds can either be too loud or too soft, my voice will sometimes be too loud or too soft.

The stroke also threw my emotions off balance. My emotional filter is gone. I feel so bad for my family as anything they say or do could send me into a crying jag or a fit of anger. It was also hard for me to feel joy. That was devastating. There were so many things that I should have been happy for but I could not feel that light, joyful feeling in my heart. I often wonder, did the stroke damage my “happy” center?

I still have trouble using my left arm and hand. It is the same with my leg. There is a miscommunication between my brain and my muscles. I describe it this way; “my brain speaks English, while my left side all of a sudden spoke only Mandarin.” They could not understand each other. My physical therapist told me I should trademark that phrase. It is a simple but effective way to describe the damage that I have on the left side of my body (hemiparesis).

I work very hard to get back all that I can physically and mentally. I know I am making progress. For now, these are the things that I really struggle with:

I have a short attention span. If I am talking and I get interrupted, there is a chance that I will not be able to continue or remember what I am talking about.
I sometimes know what I want to say, but cannot immediately find the words.
I may ask you for the same information more than once. My short term memory is finicky at best. On the plus side, I am an excellent secret keeper.
I still get tired very easily. What’s a simple task for most people takes more energy for me. Not only physically, but also mentally. I cannot walk and talk at the same time. I will either trip or lose track of our conversation.
Loud noises and crowded places zap my energy. This is getting better. I am thankful for that.
My emotions are a mess. I get easily hurt by things that should not matter. I am getting better at this, I do not like that I had my family was walking on eggshells around me.
Chronic nerve pain (neuropathy) is a constant struggle. I could be walking along all fine and dandy then the next minute BOOM, my foot would feel like it is being stabbed by a million hot, sharp pins and needles. My shoulder and thigh are also affected by this pain,

On October 28th, it will be two years since I’ve had a stroke. I believe I have made some incredible recoveries. However, I still have a very long way to go. So I keep on working, I keep on researching for new ways to improve, new treatments available, and of course good old fashioned hard work. At the same time, I will live my life fully and love whole heartedly.

Much Love,

Momma Berna